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中华普通外科学文献(电子版) ›› 2016, Vol. 10 ›› Issue (03) : 192 -194. doi: 10.3877/cma.j.issn.1674-0793.2016.03.007

所属专题: 文献

论著

乳腺钼靶X线三维立体定位系统引导下导丝定位活检的临床应用
冯宇1, 赵霞1, 张建梅1, 吕淑贞1, 穆颖1, 王丹丹1, 吕大鹏1, 郭怡晖1, 李艳萍1,()   
  1. 1. 100038 北京,首都医科大学附属北京世纪坛医院乳腺科
  • 收稿日期:2015-12-17 出版日期:2016-06-01
  • 通信作者: 李艳萍

Clinical efficacy of mammograpy three-dimensional positioning system-guided wire-localized surgical biopsies for nonpalpable breast lesions

Yu Feng1, Xia Zhao1, Jianmei Zhang1, Shuzhen Lyu1, Ying Mu1, Dandan Wang1, Dapeng Lyu1, Yihui Guo1, Yanping Li1,()   

  1. 1. Department of Breast Surgery, Beijing Shijitan Hospital, Affiliated to Capital Medical University, Beijing 100038, China
  • Received:2015-12-17 Published:2016-06-01
  • Corresponding author: Yanping Li
  • About author:
    Corresponding author: Li Yanping, Email:
引用本文:

冯宇, 赵霞, 张建梅, 吕淑贞, 穆颖, 王丹丹, 吕大鹏, 郭怡晖, 李艳萍. 乳腺钼靶X线三维立体定位系统引导下导丝定位活检的临床应用[J/OL]. 中华普通外科学文献(电子版), 2016, 10(03): 192-194.

Yu Feng, Xia Zhao, Jianmei Zhang, Shuzhen Lyu, Ying Mu, Dandan Wang, Dapeng Lyu, Yihui Guo, Yanping Li. Clinical efficacy of mammograpy three-dimensional positioning system-guided wire-localized surgical biopsies for nonpalpable breast lesions[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(03): 192-194.

目的

探讨乳腺钼靶X线三维立体定位系统引导下导丝定位手术活检在临床不能触及肿块的乳腺病变中的价值及可行性。

方法

回顾性研究2013年4月至2015年10月间收治的乳腺钼靶X线异常女性患者67例,对临床不能触及的乳腺病灶行导丝定位手术活检及病理检查。

结果

67例病灶均一次定位成功,发现乳腺癌17例(25.4%),癌前病变(导管上皮非典型增生及导管内乳头状瘤)13例(19.4%),其他良性病变37例(55.2%)。影像表现为微钙化灶的46例病例中乳腺恶性病变共16例(34.8%),癌前病变8例(17.4%),其他良性病变22例(47.8%);非钙化组的21例病例中良性病变20例(95.2%),恶性病变1例(4.8%)。与影像表现为非钙化组比较,对于临床不能触及的乳腺病灶,乳腺钼靶X线影像表现为微钙化时乳腺癌检出率更高(χ2=5.369,P=0.021)。

结论

钼靶X线三维立体定位系统引导下导丝定位活检可以发现容易漏诊的早期乳腺癌及癌前病变,该方法简便、准确,值得推广。

Objective

To investigate the value and feasibility of wire-location surgical biopsies by mammograpy three-dimensional positioning system for non-palpable breast lesions.

Methods

Between April 2013 and October 2015, sixty-seven women with non-palpable breast lesions underwent surgery at Beijing Shijitan Hospital. Wire localization guided by mammograpy three-dimensional positioning system was performed before operation.

Results

All lesions founded out by mammograpy were accurately localized and excised. Seventeen cases (25.4%) were malignant, 13 (19.4%) were precancerous lesions (including ductal atypical hyperplasia and intraductal papilloma), and cases 37 (55.2%) were benign lesions by pathologic diagnosis. 34.8% (16/46) cases with microcalcifications were malignant, 17.4% (8/46) were precancerous lesions, and 47.8% (22/46) were benign lesions. In non-calcification group, 95.2% (20/21) were benign lesions and 4.8% (1/21) were malignant. By statistical analysis, the detection rate of breast cancer was higher in the cases with microcalcifications (χ2=5.369, P=0.021).

Conclusion

Careful consideration should be taken for the cases of non-palpable breast lesions, and mammograpy three-dimensional positioning system-guided wire localization of breast lesions is useful in assisting surgical biopsy and worth extensive generalization.

表1 钙化组与非钙化组不同影像学表现的病理结果[例(%),χ2检验]
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